Regulatory Report Writing Coach / Please indicate the location you are applying for by ticking the relevant box:
Cork
Dublin
Please complete each section of this application as fully and as carefully as possible using black lettering as applications will be short-listed on the basis of the information provided on this form. It is imperative that all sections of this application form are completed in full.
- Surname:
Title: Mr □ Ms □ Miss □ Other (please specify)
- Address for Correspondence:
Home:
Work:
Mobile:
Email:
- Work Permit:Are there any legal restrictions on your right to work in this Country? Yes No (If yes, please supply details)
- Source of Application:
5. Have you previously availed of a Voluntary Early Retirement Scheme or any other Redundancy Scheme
in the Public Sector?
Yes
No
If yes, do the terms of the Scheme allow you to apply for this position?
Yes
No
6. Declaration:
I understand that as a condition of employment, the information presented in this application form is correct to
the best of my knowledge.
Signed:Date:
(Please note – if emailing application, signature not required)
Please note that all personal data shall be treated as confidential in accordance with the Data Protection Acts 1988 & 2003.
This form should be completed and returned to:
Closing Date: 5:00pm Monday 30th April 2018
Please note that all correspondence will be via email unless otherwise stated.
University or other Third Level Institute
Candidates should outline all details regarding Academic, Professional, Technical and Clinical Qualifications
Candidates will be required to produce evidence of qualifications on appointment
Name of Institute / Years Attended
(DD/MM/YYYY)
ToFrom / Qualification and NQF Level Obtained / Conferring Body
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8. Details of Experience(Please list positions held, commencing with most recent employer, continuing on an extra sheet if necessary).
Please state for each position heldif the role is Temporary, Permanent or Acting
Date
(DD/MM/YYYY)
From To / Name & Address of Employer and
Nature of Business / Job Title and Description of Duties with special emphasis on experience relevant to the post. Please include reason for leaving.
9. Further Particulars of Present Post
Additional Information (successful candidates may be asked to supply documentary evidence in support of stated salary)
Current Salary Scale: / Additional Allowances:
Present Remuneration: € / Notice Required:
10. Membership of Professional Associations, Institutions, etc. (where appropriate)
10. a. Registration with relevant regulatory bodies
Type of Registration :
Date of Expiry: Registration/Enrolment No:
11. Interview Arrangements (Please provide details of any special arrangements in relation to either
communications or access which you may require at the interview centre):
12. Have you previously applied for a position in the Health Information and Quality Authority?
If yes, please specify position applied for and date of application.
13. Particulars of Referees:Please give the name and contact details of three work related referees, one of whom
must be your current line manager / employer. Please note that your referees will not be contacted without your
Permission.
Name / Position or Occupation / Postal / E-mail Address. Tel. No.
Supplementary Information regarding Core Competencies
In this section, we ask you to describe your experience and expertise in a number of core competencies as outlined in the job description. (A max of 250 words for each competency)
1.Knowledge and expertise in report writing editing proofing and formatting skills.
2.Strong interpersonal and communication skills particularly where information must be conveyed in a clear and convincing way.
3.Experience of working effectively with different stakeholders.
The information you provide will be used to assess your application. Therefore, compose your replies carefully and try to structure what you write so that you give specific information about what you have done.
1.Knowledge and expertise in report writing editing proofing and formatting skills.
2.Strong interpersonal and communication skills particularly where information must be conveyed in a clear and convincing way.
3.Experience of working effectively with different stakeholders.
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